Evidence map›Paper›PMID 24376537›Full record

ArticlePloS one2013

Modified McKeown minimally invasive esophagectomy for esophageal cancer: a 5-year retrospective study of 142 patients in a single institution.

Baofu Chen, Bo Zhang, Chengchu Zhu, Zhongrui Ye, Chunguo Wang, Dehua Ma, Minhua Ye, Min Kong, Jiang Jin, Jiang Lin and 5 more

Open access · goldAbstract read
In one paragraph

Article in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 9% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

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  4. Comparison of wide and narrow gastric conduit in esophageal cancer surgery.Journal of the Chinese Medical Association : JCMA · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors.

Baofu ChenDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Bo ZhangDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Chengchu ZhuDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Zhongrui YeDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Chunguo WangDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Dehua MaDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Minhua YeDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Min KongDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Jiang JinDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Jiang LinDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Chunlei WuDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Zheng WangDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Jiahong YeDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Jian ZhangDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.
Quanteng HuDepartment of Thoracic Surgery, Taizhou Hospital, Wenzhou Medical College, Linhai, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo achieve decreased invasiveness and lower morbidity, minimally invasive esophagectomy (MIE) was introduced in 1997 for localized esophageal cancer. The combined thoracoscopic-laparoscopic esophagectomy (left neck anastomosis, defined as the McKeown MIE procedure) has been performed since 2007 at our institution. From 2007 to 2011, our institution subsequently evolved as a high-volume MIE center in China. We aim to share our experience with MIE, and have evaluated the outcomes of 142 patients.

methodsWe retrospectively reviewed 142 consecutive patients who had presented with esophageal cancer undergoing McKeown MIE from July 2007 to December 2011. The procedure, surgical outcomes, disease-free and overall survival of these cases were assessed.

resultsThe average total procedure time was 270.5 ± 28.1 min. The median operation time for thoracoscopy was 81.5 ± 14.6 min and for laparoscopy was 63.8 ± 9.1 min. The average blood loss associated with thoracoscopy was 123.8 ± 39.2 ml, and for laparoscopic procedures was 49.9 ± 14.3 ml. The median number of lymph nodes retrieved was 22.8. The 30 day mortality rate was 0.7%. Major surgical complications occurred in 24.6% and major non-surgical complications occurred in 18.3% of these patients. The median DFS and OS were 36.0 ± 2.6 months and 43.0 ± 3.4 months respectively.

conclusionsSurgical and oncological outcomes following McKeown MIE for esophageal cancer were acceptable and comparable with those of open-McKeown esophagectomy. The procedure was both feasible and safe - properties that can be consolidated by experience.

Indexed as

EsophagectomyMinimally Invasive Surgical ProceduresAgedDemographyDisease-Free SurvivalEsophageal NeoplasmsFemaleFollow-Up StudiesHumansLaparoscopyLymph Node ExcisionMaleMiddle AgedPatient PositioningPostoperative ComplicationsRetrospective Studies

Identifiers

PMID24376537
PMCPMC3869695
OpenAlexW2150559475

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.